ChildrensProgramRegistration - Westhill Community

Westhill Community

Westhill Park Baptist Church

Westhill Children's Program Registration

Please Select The Program You are Registering For:
Child's Name
Date of Birth (mm/dd/yy)
Gender	Male Female
Grade Entering in Fall
Mother's Name
Father's Name
Address
Home Phone Number
Cell Phone
E-Mail Address
Church Attended
My Child has the following allergies / health concerns:
I Grant permission for my daughter / son to become a member of the Westhill Park Baptist Church Children's Ministry Programs and to participate fully in all its activities.
Consent	Agree Disagree
Westhill Park Baptist Church is committed to protecting your privacy. We will not share your data, including your email address, with any organization.